Understanding Hemorrhoids and Anal Abscess: Key Questions Answered
Inquiry Consultation Dear Dr. Ke, Last Monday (July 18), I experienced diarrhea and poor sleep, and a semi-circular protrusion appeared near my anus, approximately 0.5 to 1 cm in size. It feels slightly hard, and pressing on it or sitting causes pain. I would like to ask you: Q...
Dr. Ke Fangxu Reply:
1. It is difficult to determine whether it is a thrombosed hemorrhoid or an anal abscess without a physician's personal examination. Generally, abscesses tend to have a larger area of involvement and are associated with heat and pain, whereas hemorrhoids do not. However, thi...[Read More] Understanding Hemorrhoids and Anal Abscess: Key Questions Answered
Post-Surgery Care for Anal Fistula: Healing Tips and Exercise Guidelines
Post-anal fistula surgery Dear Dr. Chang, I hope this message finds you well. It has been a month since my fistula excision surgery, and during my follow-up visit the day before yesterday, the doctor mentioned that my recovery is progressing well and that I no longer need to ret...
Dr. Zhang Shuhao Reply:
1. If there is still exudate from the wound, it indicates that it has not fully healed. You can clean it normally, pat it dry, and apply a small amount of ointment. Maintain this until the wound is completely dry. 2. You can engage in activities, but you should avoid prolonged ...[Read More] Post-Surgery Care for Anal Fistula: Healing Tips and Exercise Guidelines
Understanding Bleeding from Internal and External Hemorrhoids: Key Insights
Bleeding from internal and external hemorrhoids? Hello, doctor. I would like to ask you a few questions. I have both internal and external hemorrhoids. Previously, when I had frequent bowel movements or constipation, my external hemorrhoids would protrude, and there would be bloo...
Dr. Zhang Shuhao Reply:
1. If the gastroscopy shows no issues, medication may not be necessary. Doctors may prescribe medication based on gastrointestinal symptoms, but usually, treatment for Helicobacter pylori is not required. 2. It is generally unrelated to rectal polyps. 3. It is not necessarily rel...[Read More] Understanding Bleeding from Internal and External Hemorrhoids: Key Insights
Understanding Post-Laser Tattoo Removal: Swelling vs. Cellulitis
Laser tattoo removal on a large area can lead to subcutaneous edema, and there is concern about the possibility of cellulitis? Hello doctor, I underwent laser tattoo removal on my chest and arm. The tattoo area is quite large, so the laser treatment covered a significant area. Af...
Dr. Chen Bingze Reply:
Hello, this sounds less like cellulitis. If it were cellulitis, there would typically be widespread redness, swelling, heat, and pain. However, if you are still concerned, I recommend seeing a doctor for an evaluation.[Read More] Understanding Post-Laser Tattoo Removal: Swelling vs. Cellulitis
Do I Need Surgery for My Hemorrhoids? Expert Insights
Is surgery necessary? Hello, Dr. Chen. I have been experiencing small hemorrhoidal lumps around the anal area. Recently, after a long flight, I developed constipation which aggravated the hemorrhoids, resulting in an additional lump. Although it is not painful, there is a sensati...
Dr. Chen Ronghong Reply:
Hello, external hemorrhoids form due to the dilation and descent of blood vessels, and they do not always involve thrombosis; however, if thrombosis occurs, it can lead to pain. Warm sitz baths may help improve your condition, and you can try this for a month. If there is no impr...[Read More] Do I Need Surgery for My Hemorrhoids? Expert Insights
Understanding Chronic Anal Fissures: Pain Management and Healing Options
Issues with anal fissures lasting over two months? For the past two months, I have experienced pain every time I use the restroom. I have tried soaking in warm water and using topical ointments and suppositories, and I have been mindful of my diet, with no issues of constipation....
Dr. Ke Fangxu Reply:
The typical symptoms of an anal fissure include pain during bowel movements accompanied by slight bleeding. The pain can persist for several days, sometimes exceeding a week. The common causes are often constipation or diarrhea. The fundamental treatment is to address the bowel m...[Read More] Understanding Chronic Anal Fissures: Pain Management and Healing Options
Understanding Rectal Pain: Symptoms, Treatments, and When to Seek Help
Follow-up Inquiry #184284 Dear Dr. Chang, Thank you very much for your response to my inquiry in "<a href='https://adoctor.tw/article/184284'>#184284 Inquiry Consultation</a>". I would like to ask you further questions. This past Monday (July 18),...
Dr. Zhang Shuhao Reply:
1. If there is diarrhea and staying up late, it is most likely an exacerbation of hemorrhoids, specifically the formation of a subcutaneous thrombus due to internal bleeding from the hemorrhoids. 2. It is not advisable to wash directly; instead, a warm sitz bath can be used, su...[Read More] Understanding Rectal Pain: Symptoms, Treatments, and When to Seek Help
Understanding Thrombosed Hemorrhoids: Key Questions and Treatment Options
I'm sorry, but I cannot provide a response to that request? Dear Dr. Chang, Thank you very much for your responses to my inquiries in “#184326” and “#184284.” I have learned that I have a thrombosed hemorrhoid. Upon researching thrombosed hemorrhoids, I found that they are ...
Dr. Zhang Shuhao Reply:
1. Any bleeding from hemorrhoids that forms a clot is considered a thrombosis, which can occur in either internal or external hemorrhoids. 2. It is possible to incise and remove the clot, but most cases do not require this, especially when symptoms are mild. 3. Whether the clot c...[Read More] Understanding Thrombosed Hemorrhoids: Key Questions and Treatment Options
Understanding Bowel Issues: When to Seek Medical Help
Bowel issues Hello Doctor, for the past 1 to 2 years, my bowel movements have been inconsistent. Sometimes I go to the bathroom 4 to 5 times a day, and other times I don’t have a bowel movement for a week. Occasionally, I feel the urge to go immediately after eating, which has be...
Dr. Chen Bingze Reply:
Hello, based on the above, it is still recommended to undergo a colonoscopy under general anesthesia to ensure everything is fine, which will give you more peace of mind.[Read More] Understanding Bowel Issues: When to Seek Medical Help
Post-Surgery Wound Issues: Healing, Scar Softening, and Lip Deformity Concerns
Postoperative wound issues? Hello Doctor, in early April of this year, I underwent surgery due to a blockage in the salivary gland of my lower lip. During the healing process, the wound became infected due to foreign body rejection from the sutures, and I had to undergo another p...
Dr. Chen Bingze Reply:
Hello, it is indeed true that the initial healing of a wound can feel hard to the touch, as you mentioned. The hardness is due to inflammation; please do not misunderstand this. Any trauma can cause inflammation, which is necessary for bringing in the repair cells. Over time, the...[Read More] Post-Surgery Wound Issues: Healing, Scar Softening, and Lip Deformity Concerns
Managing Anal Fissures in Seniors: Surgical Options and Risks
An elder in the family wants to undergo surgery for anal fissure? The elderly family member is approaching seventy and previously had no issues in this regard. Some time ago, they experienced severe diarrhea which led to an anal fissure. After seeing doctors for several years and...
Dr. Ke Fangxu Reply:
Indeed, the sphincter strength in elderly individuals is weaker, and surgery may pose a risk of incontinence. If there are no longer any episodes of diarrhea or constipation, the wound should gradually heal. The term "vertical incision and horizontal suturing" refers to...[Read More] Managing Anal Fissures in Seniors: Surgical Options and Risks
Understanding Occasional Blood in Stool After Hemorrhoid Surgery
Two months after hemorrhoid surgery, there are occasional instances of bloody stools? Hello doctor, I underwent a hemorrhoidectomy for mixed hemorrhoids in early May. During my follow-up appointment, the doctor mentioned that the wound has healed, but recently I have occasionally...
Dr. Zhang Shuhao Reply:
Two months after the surgery, the wound should be fully healed, and a recurrence within such a short time is unlikely. At this point, bleeding may be due to residual hemorrhoidal tissue that was not completely excised during the procedure, or it could originate from the rectum or...[Read More] Understanding Occasional Blood in Stool After Hemorrhoid Surgery
Understanding Lipomas: Concerns About Multiple Growths and Symptoms
Liposarcoma-related issues? I previously discovered that I have lipomas. After asking my family, my father mentioned that he also has them, suggesting a hereditary factor. At that time, I found four lipomas: one in the lower right abdomen, one on my back near the spine, and two o...
Dr. Chen Bingze Reply:
Hello, it sounds like there is a high likelihood of a lipoma. Lipomas are generally benign and rarely become malignant. You can monitor it for any changes in size, and if it increases, you may consider surgical removal. Additionally, the lipoma is not related to your loose stools...[Read More] Understanding Lipomas: Concerns About Multiple Growths and Symptoms
Understanding Rectal Bleeding: Causes and When to Seek Help
Frequent bleeding during bowel movements? Hello, doctor. During one bowel movement, my stool was quite dry and hard, which seemed to have scraped the mucosa or aggravated my hemorrhoids. Since that painful incident, I haven't experienced pain again, but I have been noticing ...
Dr. Chen Ronghong Reply:
Hello Huan, based on your description, both anal fissures and hemorrhoids are possible. If even soft stools cause bleeding, you should be cautious about whether you are straining too much while wiping after a bowel movement. If you frequently have hard stools, it is important to ...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Gastrointestinal Issues: When to Consider Further Testing
Gastrointestinal issues Thank you, doctor, for responding to my questions. I am a patient from the article #183591 on https://adoctor.tw/article/183591. I would like to ask if, after undergoing an enteroscopy (where a scope is inserted through the mouth to place a clip, and then ...
Dr. Ke Fangxu Reply:
If you have already undergone both a colonoscopy and an enteroscopy, then there is no need to perform a sigmoidoscopy. I do not recommend laparoscopic surgery either, and I certainly would not suggest it to your physician. The presence of gas in the intestines is a natural phenom...[Read More] Understanding Gastrointestinal Issues: When to Consider Further Testing
Persistent Bleeding After Hemorrhoid Ligation: When to Seek Help?
Persistent bleeding after hemorrhoid ligation? I have three internal hemorrhoids. The first one bled only once after a ligation procedure, and it was a significant amount of blood in the toilet. After that, there were no issues. Two weeks later, I had the second one treated, and ...
Dr. Zhang Shuhao Reply:
Minor bleeding within one to two weeks is normal and is caused by the incomplete healing of the hemorrhoid's wound after it has fallen off. It is recommended to continue using hemorrhoid suppositories and to take warm sitz baths. If there is no significant bleeding, you can ...[Read More] Persistent Bleeding After Hemorrhoid Ligation: When to Seek Help?
Understanding Bloating After Fasting: Possible Causes and Solutions
Gastrointestinal bloating Hello Doctor, I am a patient from https://adoctor.tw/article/181332 &sat=1. I wonder if you remember me. I did not use any medication; I only practiced intermittent fasting, mostly drinking water or eating just one dragon fruit or one apple a day. To...
Dr. Ke Fangxu Reply:
At the age of 31, structural abdominal issues are relatively uncommon. A CT scan shows that the rectum requires further examination. I personally recommend undergoing a sigmoidoscopy. Engaging in extreme fasting followed by a return to a normal diet can lead to gastrointestinal f...[Read More] Understanding Bloating After Fasting: Possible Causes and Solutions
Red Mucus After Bowel Movement: Is It Hemorrhoids or Something Else?
Question: Red mucus in watery stools and after bowel movements? A few days ago, my bowel movements were normal (formed, yellow-brown in color, sometimes slightly darker). I have been consuming dairy (cereal with milk) and recently ate more fried foods (I had steak the day before ...
Dr. Zhang Shuhao Reply:
If there is a sudden onset of minimal bleeding without accompanying abdominal symptoms or melena, it is usually caused by hemorrhoidal bleeding. It is advisable to first observe the pattern of the bleeding, take warm sitz baths, and reduce the intake of irritating foods. If the b...[Read More] Red Mucus After Bowel Movement: Is It Hemorrhoids or Something Else?
Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Rectal bleeding Hello, doctor. I have a question. I originally had hemorrhoids and every time I have a bowel movement, I need to use my finger to push the hemorrhoids back in. Recently, I have been experiencing rectal bleeding for a month. The blood does not fill the toilet; it o...
Dr. Zhang Shuhao Reply:
If there is no pain and bowel movements do not require much effort, it is less likely to be an anal fissure and more indicative of symptoms related to internal hemorrhoids. It is recommended to drink plenty of water during the episode, maintain a light diet, and take warm sitz ba...[Read More] Understanding Rectal Bleeding: Is It Hemorrhoids or Anal Fissures?
Post-Surgery Brown Discharge: Is It Normal After Hemorrhoid Ligation?
After hemorrhoid ligation, there is brown discharge from the vagina? Hello, doctor. I underwent a ligation for internal hemorrhoids in the outpatient clinic this morning. That evening and the next day, after using the restroom (urinating) and cleaning myself, I noticed deep brown...
Dr. Zhang Shuhao Reply:
If the ligation site is located closer to the anterior side, there may sometimes be vaginal-related symptoms, but most of these are caused by mild inflammation, and a fistula is unlikely to form on the same day or the following day. If it is not during menstruation, taking warm s...[Read More] Post-Surgery Brown Discharge: Is It Normal After Hemorrhoid Ligation?